Children's Medicine P.c.

NPI #1396837233 in Portage, Michigan

Provider Information

NPI Number: 1396837233
Entity Type: Organization
Organization Name: Children's Medicine P.c.
Primary Specialty: Pediatrics
Enumeration Date: Sep 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1428 W MILHAM AVE
City: Portage
State: Michigan
ZIP Code: 49024-1209
Phone: (269) 345-9030

Authorized Official

Name: DR. ROBERT CARL ENSFIELD, M.D.
Title: PRESIDENT
Phone: (269) 345-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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